This organization is devoted to serving the interests of those with Polish
roots and all to who take an interest in things Polish and Polish-American.

Poles have made many noteworthy contributions to our country’s growth. There
is a need to build on this proud record, to make others more aware of these
contributions, and to foster an environment where we can continue to contribute.

To have a successful implementation of our objectives, the support and active
involvement of all Polonia is needed. Share your talent and energy with us in a
united effort. We need your support!

Annual membership dues are $50.00 for adults, $25 for students. If you can, please make an
additional donation to help finance the special efforts of National
Representation through the Washington DC office, or for the American Agenda
and/or Polish Agenda, which are intended to serve the interests of Polonia.

You may fill in the form on-screen and print it, or print it first and
fill it in by hand.
The fields outlined in red are required.

Print the form, fill it in, sign and date it.

Have the form signed by PAC members who are your sponsors. If your
sponsors are members of the Board of Directors, you
may submit your application without signatures, and your sponsors will sign it
at the next Board meeting.

Mail the form, along with your check, to the address on the form, or give
it to an Officer of the Division.